{"title":"远程康复支持运动对COVID-19大流行期间可能患有睡眠磨牙症的颞下颌障碍患者的有效性:一项随机对照试验","authors":"Ezgi Hatice Abaci, Aysenur Tuncer, Abidin Hakan Tuncer","doi":"10.1080/08869634.2025.2493365","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated telerehabilitation-supported exercises' effects on pain, neck disability, anxiety, oral behaviors, and sleep quality in patients with Temporomandibular Disorders associated with probable sleep bruxism (TMDs-SB).</p><p><strong>Methods: </strong>During the COVID-19 pandemic (March 2021-May 2022), 40 patients aged 18-65 with TMDs-SB were randomized to a telerehabilitation (<i>n</i> = 20) or home exercise (<i>n</i> = 20) groups. Both received education and exercises; the telerehabilitation group supervised 30-minute weekly WhatsApp video sessions for eight weeks. Outcomes were assessed at baseline and eight weeks.</p><p><strong>Results: </strong>Both groups improved significantly in all outcomes from baseline to eight-week follow-up (<i>p</i> < .05). Telerehabilitation showed greater reductions in morning jaw pain (<i>p</i> = .012), neck disability (<i>p</i> = .032), trait anxiety (<i>p</i> = .028), and oral behaviors (<i>p</i> = .001) versus home exercises. Sleep quality improved similarly in both groups (<i>p</i> = .154).</p><p><strong>Conclusions: </strong>Telerehabilitation effectively reduced TMDs-SB symptoms, offering a promising alternative to unsupervised exercises during the pandemic. Given this unique context, conducting studies outside the pandemic's conditions would enhance generalizability and clarify telerehabilitation's potential. Further studies are needed to confirm its efficacy beyond pandemic conditions.</p>","PeriodicalId":56318,"journal":{"name":"Cranio-The Journal of Craniomandibular & Sleep Practice","volume":" ","pages":"1-12"},"PeriodicalIF":2.0000,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of telerehabilitation-supported exercises in patients with temporomandibular disorders with probable sleep bruxism during the COVID-19 pandemic: A randomized controlled trial.\",\"authors\":\"Ezgi Hatice Abaci, Aysenur Tuncer, Abidin Hakan Tuncer\",\"doi\":\"10.1080/08869634.2025.2493365\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study evaluated telerehabilitation-supported exercises' effects on pain, neck disability, anxiety, oral behaviors, and sleep quality in patients with Temporomandibular Disorders associated with probable sleep bruxism (TMDs-SB).</p><p><strong>Methods: </strong>During the COVID-19 pandemic (March 2021-May 2022), 40 patients aged 18-65 with TMDs-SB were randomized to a telerehabilitation (<i>n</i> = 20) or home exercise (<i>n</i> = 20) groups. Both received education and exercises; the telerehabilitation group supervised 30-minute weekly WhatsApp video sessions for eight weeks. Outcomes were assessed at baseline and eight weeks.</p><p><strong>Results: </strong>Both groups improved significantly in all outcomes from baseline to eight-week follow-up (<i>p</i> < .05). Telerehabilitation showed greater reductions in morning jaw pain (<i>p</i> = .012), neck disability (<i>p</i> = .032), trait anxiety (<i>p</i> = .028), and oral behaviors (<i>p</i> = .001) versus home exercises. Sleep quality improved similarly in both groups (<i>p</i> = .154).</p><p><strong>Conclusions: </strong>Telerehabilitation effectively reduced TMDs-SB symptoms, offering a promising alternative to unsupervised exercises during the pandemic. Given this unique context, conducting studies outside the pandemic's conditions would enhance generalizability and clarify telerehabilitation's potential. Further studies are needed to confirm its efficacy beyond pandemic conditions.</p>\",\"PeriodicalId\":56318,\"journal\":{\"name\":\"Cranio-The Journal of Craniomandibular & Sleep Practice\",\"volume\":\" \",\"pages\":\"1-12\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-04-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cranio-The Journal of Craniomandibular & Sleep Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/08869634.2025.2493365\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cranio-The Journal of Craniomandibular & Sleep Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/08869634.2025.2493365","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Effectiveness of telerehabilitation-supported exercises in patients with temporomandibular disorders with probable sleep bruxism during the COVID-19 pandemic: A randomized controlled trial.
Objective: This study evaluated telerehabilitation-supported exercises' effects on pain, neck disability, anxiety, oral behaviors, and sleep quality in patients with Temporomandibular Disorders associated with probable sleep bruxism (TMDs-SB).
Methods: During the COVID-19 pandemic (March 2021-May 2022), 40 patients aged 18-65 with TMDs-SB were randomized to a telerehabilitation (n = 20) or home exercise (n = 20) groups. Both received education and exercises; the telerehabilitation group supervised 30-minute weekly WhatsApp video sessions for eight weeks. Outcomes were assessed at baseline and eight weeks.
Results: Both groups improved significantly in all outcomes from baseline to eight-week follow-up (p < .05). Telerehabilitation showed greater reductions in morning jaw pain (p = .012), neck disability (p = .032), trait anxiety (p = .028), and oral behaviors (p = .001) versus home exercises. Sleep quality improved similarly in both groups (p = .154).
Conclusions: Telerehabilitation effectively reduced TMDs-SB symptoms, offering a promising alternative to unsupervised exercises during the pandemic. Given this unique context, conducting studies outside the pandemic's conditions would enhance generalizability and clarify telerehabilitation's potential. Further studies are needed to confirm its efficacy beyond pandemic conditions.
期刊介绍:
CRANIO: The Journal of Craniomandibular & Sleep Practice is the oldest and largest journal in the world devoted to temporomandibular disorders, and now also includes articles on all aspects of sleep medicine. The Journal is multidisciplinary in its scope, with editorial board members from all areas of medicine and dentistry, including general dentists, oral surgeons, orthopaedists, radiologists, chiropractors, professors and behavioural scientists, physical therapists, acupuncturists, osteopathic and ear, nose and throat physicians.
CRANIO publishes commendable works from outstanding researchers and clinicians in their respective fields. The multidisciplinary format allows individuals practicing with a TMD emphasis to stay abreast of related disciplines, as each issue presents multiple topics from overlapping areas of interest.
CRANIO''s current readership (thousands) is comprised primarily of dentists; however, many physicians, physical therapists, chiropractors, osteopathic physicians and other related specialists subscribe and contribute to the Journal.